Provider Demographics
NPI:1578916128
Name:DANCY, SHIRA ESTHER RUGGS (DDS)
Entity type:Individual
Prefix:DR
First Name:SHIRA
Middle Name:ESTHER RUGGS
Last Name:DANCY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:705 RILEY HOSPITAL DR STE 4205
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5109
Mailing Address - Country:US
Mailing Address - Phone:317-948-6255
Mailing Address - Fax:317-948-0760
Practice Address - Street 1:705 RILEY HOSPITAL DR STE 4205
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-948-6255
Practice Address - Fax:317-948-0760
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012566A1223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Yes1223G0001XDental ProvidersDentistGeneral Practice